AR Caller

Perform pre-call analysis and check claim status by calling the payer or using IVR or web portal services.
Maintain appropriate documentation on client software to send necessary documentation to insurance companies as needed, and maintain a clear audit trail for future reference.
Record after-call actions and perform post call analysis for claim follow-ups.
Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc. prior to making the call.
Perform analysis of accounts-receivable data and understand the reasons for underpayment, days in A/R, top denial reasons and use appropriate codes for documentation of denials/underpayments.

Excellent verbal communication skills are essential